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CPT 31297

Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus

Reported by 23 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$7.2k

Median

$6.9k

High

$15.1k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalIL 60190, IL—$10.0k$10.0k——
2Northwestern Lake Forest HospitalLake Forest, IL$5.4k$5.3k$5.3k$6.0k—
3VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
4VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
5Metro Knoxville HMA LLCPowell, TN$865$7.2k$8.9k$35.0k$8.3k
6Affinity Hospital LLCBirmingham, AL$441$3.5k$4.4k$92.6k$2.4k
7Granbury Hospital CorporationGranbury, TX$1.4k$1.6k$4.1k$91.4k$3.9k
8Mercy Health Youngstown LlcWarren, OH$6.7k$6.7k$6.7k$6.8k$63
9Mercy Health Youngstown LlcYoungstown, OH$6.7k$6.7k$6.7k$6.8k$46
10St Mary Mercy LivoniaLivonia, MI$3.1k$7.0k$7.5k$15.8k$2.7k
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